Applied Evidence

Medical Cannabis: A guide to the clinical and legal landscapes

Author:

Lara Carson Weinstein, MD, MPH, DrPH

Brooke Worster, MD, FACP

If your patient expresses interest in medical marijuana, you’ll find evidence on maximizing benefit while minimizing risk. But be cautious: Data...

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Applied Evidence

How best to address breast pain in nonbreastfeeding women

Author:

Jennifer Lochner, MD

Maggie Larson, DO

Emily Torell, MD, MPH

Sarina Schrager, MD, MS

This guide—with accompanying algorithms—will help you to streamline your approach to breast pain in a patient who isn’t breastfeeding.

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Applied Evidence

Advanced team-based care: How we made it work

Author:

James Jerzak, MD

Gina Siddiqui, MD

Christine A. Sinsky, MD

Our move away from a traditional practice model has improved quality metrics and enhanced our financial sustainability.

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Behavioral Health

Caring for patients with co-occurring mental health & substance use disorders

Author:

Kristen Rundell, MD

Rupal Oza, MD

Laurie Greco, PhD

Ernesto Ortiz Cruzado, MD

Consider substance abuse if Tx for mood or anxiety disorders is ineffective. Don’t defer treating a mental health issue until a substance use...

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Case Reports

8-year-old boy • palpable purpura on the legs with arthralgia • absence of coagulopathy • upper respiratory infection • Dx?

Author:

Rachel Bramson, MD

Andrew Trinh, BS

► Palpable purpura on the legs with arthralgia
► Absence of coagulopathy
► Upper respiratory infection

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Case Reports

Red patches on the tongue with white borders • history of geographic tongue • incompletely treated celiac disease • Dx?

Author:

Stefania C. Bray, MD

Peter J. Carek, MD, MS

► Red patches on the tongue with white borders
► History of geographic tongue
► Incompletely treated celiac disease

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Clinical Inquiries

Which oral nonopioid agents are most effective for OA pain?

Author:

Benjamin Gilmer, MD, MS

Stephen Hulkower, MD

Courtenay Gilmore Wilson, PharmD, BCPS, BCACP, CDE, CPP

Brittney Macdonald, MD

Jonathan Pozner, MS4

Sue Stigleman, MLS

EVIDENCE-BASED ANSWER: Nonsteroidal anti-inflammatory drugs (NSAIDs), when used at the maximum clinically effective dose, reduce osteoarthritis (...

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Clinical Inquiries

How safe and effective is ondansetron for nausea and vomiting in pregnancy?

Author:

Kimberly L. Collins, MD

Megan Wilson, MD

E. Chris Vincent, MD

Sarah Safranek, MLIS

EVIDENCE-BASED ANSWER: Oral ondansetron is more effective than a combination of pyridoxine and doxylamine for outpatient treatment of nausea and...

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Commentary

Medical Cannabis: Not just a passing fad

Author:

John Hickner, MD, MSc

It behooves us to be prepared to discuss the pros and cons of Cannabis use with our patients—even if we decide not to prescribe it.

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Photo Rounds

Rash on face, chest, upper arms, and thighs

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Photo Rounds

Left ear pain

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Photo Rounds

Rash on lower legs and abdomen

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Photo Rounds

Marks on lower leg

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Photo Rounds

Rash on the thigh

Author:

Michelle W. Cheng, MD

Hayley Goldbach, MD

Lorraine C. Young, MD

The patient’s study habits led to the diagnosis in this case.

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PURLs

Antidepressant Tx for anxiety disorders: How long?

Author:

Patricia McGuire, MD

Gregory Castelli, PharmD, BCPS, BC-ADM

This systematic review/meta-analysis provides some long-awaited evidence regarding the length of time to treat to minimize the risk of relapse.

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Practice Alert Podcast

ACIP issues 2 new recs on HPV vaccination

Author:

Doug Campos-Outcalt, MD, MPA

This month, Dr. Campos-Outcalt describes recommendations from the Advisory Committee on Immunization Practices (ACIP) that harmonize catch-up...

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Watch & Learn

MSK Clinic: Evaluating shoulder pain using IPASS

Author:

Jeremy A. Alland, MD

In this first installment of the MSK Clinic video series, Dr. Alland demonstrates how to perform a shoulder exam using the IPASS model—I...

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